What every payer pays for 97116 in Michigan
5 commercial payers publish Michigan rates for 97116 (physician and practitioner services (fee schedule)), and the median of their medians is $25.44 per 15 min. Michigan Medicaid's fee-for-service rate, $18.53 per 15 min, is 27% below that commercial median.
- Commercial median
- $25.44per 15 min
- Michigan Medicaid
- $18.53
- Medicare
- $27.91+
On this page
97116 in Michigan, by payer type
Medicare's physician fee schedule pays $27.91–$28.81 in Michigan across 2 localities.
Each payer's 97116 rate in Michigan
Frequently asked questions
What do commercial payers pay for 97116 in Michigan?
The median of 5 payers' medians is $25.44 per 15 min, from 173 published rates in the October 2026 files.
How does Michigan Medicaid compare with commercial insurance for 97116?
Michigan Medicaid pays $18.53 per 15 min, 27% below the commercial median.
What does Medicare pay for 97116 in Michigan?
$27.91 to $28.81 on the RVU26B physician fee schedule (non-facility).
What does UnitedHealthcare pay for 97116 in Michigan?
UnitedHealthcare's median is $25.44 per 15 min, from 113 rates and 502 providers.
What does Kaiser Permanente pay for 97116 in Michigan?
Kaiser Permanente's median is $30.32 per 15 min, from 23 rates and 34 providers.